Credit Application

Steel Trade References

We require at least 3 Steel Trade References for credit processing. Please either write in the references, or upload a file that contains the references.

Choose how you want to deliver your references.

Write In

Upload File

Reference 1 Name

Reference 1 Email

Reference 1 Phone

Reference 1 Address

Address

City

State

Zip Code

Reference 2 Name

Reference 2 Email

Reference 2 Phone

Reference 2 Address

Street Address

City

State

Zip Code

Reference 3 Name

Reference 3 Email

Reference 3 Phone

Reference 3 Address

Street Address

City

State

Zip Code

Steel Trade References File

Choose File

Bank / Lending Institution

Bank Name

Bank Phone

Are there judgments or liens on your assets?

Yes

Whom is the security in favor of?

Heidtman Sales Information

Heidtman Sales Person

Estimated HSP Annual Sales

Estimated HSP MonthlySales

Company Contacts

Please give us the company contacts for the following positions.

Controller/CFO Contact

Name

Phone

Title

Accounts Payable Contact

Name

Phone

Title

Owner Contact

Name

Phone

Title

Financial Information

Please provide the last two fiscal year-end Balance Sheets and Income Statements.

File 1: Upload one or both years in a single file.

File 2: Upload the second year if not included in File 1.

Balance Sheet - File 1

Choose File

Balance Sheet - File 2

Choose File

Income Statement - File 1

Choose File

Income Statement - File 2

Choose File

Disclosure Authorization and Approvals

By checking this box, I, an authorized officer of the company, represent that the information provided above is true and is given to induce Heidtman Steel Products (HSP) to extend credit. I authorize all trade references, banks, and credit reporting agencies to disclose financial and credit information about my company to HSP.

I understand that by this action, I attest to the solvency of my company and its willingness to pay according to the current terms quotation for all Steel Purchases, Processing Purchases, or Storage Services. I agree that in the event any account is placed for collection with a third party, my company will pay all costs, including attorney fees, court costs, and finance charges.

I also commit to notifying HSP immediately of any changes in ownership, address, control, or other pertinent company details. I acknowledge that interest can be charged on any outstanding items beyond 90 days from the due date at the state's prevailing allowed interest rate.

Your submission serves as your digital signature, legally binding and equivalent to your handwritten signature.

* I agree to all of the above and affirm I am an officer of the company.

Authorized Signature of Applicant

Applicant Name

Applicant Email

Applicant Title

Sign/Submission Date

Credit Application

Company Information

Steel Trade References

Bank / Lending Institution

Heidtman Sales Information

Company Contacts

Financial Information

Disclosure Authorization and Approvals

Authorized Signature of Applicant